DR. MARK RICHARD GORMAN (NPI# 1780680165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780680165 |
| Entity Type | Individual |
| Full Name | DR. MARK RICHARD GORMAN |
| Credential | D.P.M. |
| Practice Address |
15425 N Greenway Hayden Loop A300 Scottsdale AZ 85260-1204 |
| Practice Telephone | 4809986079 |
| Practice Fax Number | 6024431698 |
| Mailing Telephone | 4809986079 |
| Mailing Fax Number | 6024431698 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0069 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 700444 | 01 |
| AZ | BCBSAZ PROVIDER # | 0065330 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174725998 | Mark J. Gorman | Psychologist | 51 Performance Dr., Weymouth, MA 02189 | 2007-06-04 |
| 1750452025 | Mark W. Gorman | Counselor | 3233 E Memorial Rd, Ste. 110, Edmond, OK 73013-7082 | 2006-11-10 |
| 1134229487 | Mark C Gorman | Dentist | 3045 Smith Road, Suite 600, Fairlawn, OH 44333 | 2006-09-25 |
| 1831192343 | Mark Neal Gorman | Nurse Anesthetist, Certified Registered | 1818 Broadway St, Port Lavaca, TX 77979-5301 | 2005-05-30 |
| 1306157490 | Mark P Gorman | Physical Therapist | 57 Bedford St, Ste 202, Lexington, MA 02420-4500 | 2010-06-23 |
| 1578773982 | Mark D Gorman | Perfusionist | 1501 N Campbell Ave, Tucson, AZ 85724-5071 | 2007-05-23 |
| 1881636017 | Mark Patrick Gorman | Psychiatry & Neurology | 300 Longwood Ave, Department of Neurology - Children's Hospital Boston, Boston, MA 02115-5724 | 2006-06-12 |
| 1891765418 | Mark Jeffrey Gorman | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2006-01-25 |
| Street Address |
15425 N GREENWAY HAYDEN LOOP A300 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689000648 | Stephen K Allan | Physician Assistant | 15425 N Greenway Hayden Loop, Suite A300, Scottsdale, AZ 85260-1204 | 2013-09-23 |
| 1669758959 | Phouning Alex Keo | Nurse Practitioner | 15425 N Greenway Hayden Loop, #b 210, Scottsdale, AZ 85260-1204 | 2011-10-31 |
| 1699905984 | Scottsdale Footcare PC | Podiatrist | 15425 N Greenway Hayden Loop, Suite A300, Scottsdale, AZ 85260-1204 | 2009-07-21 |
| 1144403429 | Gina Linn Athetis | Nurse Practitioner | 15425 N Greenway Hayden Loop, Suite A300, Scottsdale, AZ 85260-1204 | 2007-12-10 |
| 1194730879 | Denise M Stassen | Physician Assistant | 15425 N Greenway Hayden Loop, Suite A-300-3, Scottsdale, AZ 85260-1204 | 2006-07-30 |
| 1508855719 | Donald G Cunningham | Family Medicine | 15425 N Greenway Hayden Loop, Suite A300, Scottsdale, AZ 85260-1204 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314072 | Arcadia Foot & Ankle PC | Podiatrist | 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 | 2020-10-21 |
| 1972814390 | Kristina Jay | Podiatrist | 7450 E Pinnacle Peak Rd, #156, Scottsdale, AZ 85255 | 2010-06-30 |
| 1245462019 | Erin Elizabeth Martin | Podiatrist | 10900 N Scottsdale Rd Ste 604, Scottsdale, AZ 85254-5252 | 2009-08-12 |
| 1316175847 | Whitney Michelle Hunchak | Podiatrist | 33777 N Scottsdale Rd, Ste 101, Scottsdale, AZ 85266-1569 | 2009-06-23 |
| 1922260579 | Allison A Marquez | Podiatrist | 7620 E Mckellips Rd Ste 4-225, Scottsdale, AZ 85257-4600 | 2008-06-25 |
| 1619907755 | Todd W Lamster | Podiatrist | 10200 N 92nd St Ste 215, Scottsdale, AZ 85258-4543 | 2006-07-04 |
| 1235620006 | Todd W Lamster Dpm LLC | Podiatrist | 10200 N 92nd St Ste 215, Scottsdale, AZ 85258-4543 | 2018-05-28 |
| 1265809867 | Phoenician Foot & Ankle Specialists LLC | Podiatrist | 11000 N Scottsdale Rd Ste 270, Scottsdale, AZ 85254-5270 | 2015-08-31 |
| 1083027247 | Acclaim Foot and Ankle Center, PC | Podiatrist | 10250 N 92nd St, Bldg 1, Suite 114, Scottsdale, AZ 85258-4510 | 2014-06-05 |
| 1578813945 | Achilles Foot and Ankle Specialist LLC | Podiatrist | 9377 E Bell Rd, Suite 207, Scottsdale, AZ 85260-1502 | 2012-09-13 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on DR. MARK RICHARD GORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.